New York's highest court of appeals has held that no-fault insurers cannot deny no-fault benefits where they unilaterally determine that a provider has committed misconduct based upon alleged fraudulent conduct. The Court held that this authority belongs solely to state regulators, specifically New York's Board of Regents, which oversees professional licensing and discipline. This follows a similar recent ruling in Florida reported in this publication.
Nancy Molina, DC, QME, MBA, CCSP, Esq.
Dr. Nancy Molina, a previous Dynamic Chiropractic columnist for over two decades, is a dual-licensed California DC-Esq. Blending her chiropractic expertise and legal acumen, she uniquely advocates for chiropractic professionals navigating complex regulatory landscapes. She regularly lectures on ethics, risk management, and practice compliance, equipping chiropractors with the knowledge to safeguard their licenses and uphold the highest standards of patient care. Her chiropractic office is currently in San Clemente and may be reached at drmolina@molinachiropractic.com.